Individual
ELIZABETH R CHALFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Contact information
Practice address
14 SANDALWOOD DR, NEWARK, OH 43055-9233
(740) 349-7511
(740) 522-4263
Mailing address
14 SANDALWOOD DR, NEWARK, OH 43055-9233
(740) 788-8850
(740) 788-8851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162047
OH
1041C0700X
Clinical Social Worker
Primary
I.1800951-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200008
—
OH
Enumeration date
08/12/2013
Last updated
08/19/2020
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